Improving My Smile (Tooth Whitening And Tooth Bonding)

What Factors Affect the Color of My Teeth? Some people are born with teeth that are more yellow than others. Others have teeth that yellow with age. Your natural tooth color can also be affected by many factors. Surface stains (called extrinsic stains by dentists) and discoloration can be caused by:

Tobacco (whether smoked or chewed)

Drinking coffee, tea, or red wine

Eating highly pigmented foods such as cherries and blueberries

Accumulation of tartar deposits, which result from plaque that has hardened

Treatment with the antibiotic tetracycline during the time when teeth are forming

Yellowing or graying of the teeth as part of the aging process

Trauma to the teeth that may result in the death of the tooth's nerve, giving the tooth a brown, gray or black color

Ingesting too much fluoride when teeth are forming (from birth to age 16), which gives teeth a "mottled" look

Discolored or stained teeth

Teeth after tooth whitening

What are Ways to Whiten Teeth? Thorough cleanings by a dentist or hygienist will remove most external staining caused by food and tobacco. Using a whitening toothpaste can also help remove these surface stains between dental visits. If stains have been present for years, you may need to have your teeth professionally whitened to remove these more stubborn external stains.

Internal stains can be bleached, bonded or capped (crowned). While each of these methods is safe and effective, your dentist will recommend which treatment is appropriate for you depending on the state of your teeth and the results that you wish to achieve. Your dentist will consider:

The degree and type of staining

How much of the tooth structure is remaining (Is the tooth heavily filled? Are changes to the shape of the teeth needed or desired?)

How Does Tooth Whitening Work? Whitening (bleaching) can be done either in a dentist's office or at home, using a system dispensed by your dentist. Both methods use tooth-bleaching gels that oxidize out the stain. It's not uncommon for teeth to become slightly sensitive during the whitening process.

At-home whitening At-home whitening is the more popular approach today. Your dentist takes an impression of your teeth and makes a custom-fitted tray, which you fill with a whitening gel and wear up to two hours daily or at night for about two weeks. Many whitening kits prescribed by dentists today contain a solution of 10-15% carbamide peroxide. When done under the supervision of your dentist, at-home whitening is very effective.

In-office whitening Less frequent and more expensive, this procedure takes from 30 minutes to one hour per visit, and you may have to return for several visits to achieve the desired whiteness. To protect your mouth, a gel-like substance may be applied to your gums and a rubber "shield" may be placed around the necks of the teeth. An oxidizing agent (the bleaching solution) is then applied to your teeth. Sometimes, a special light is used at five-minute intervals to help activate the whitening agent.

Will My Newly Whitened Teeth Stain? Any tooth can stain, including the veneers and bonds mentioned above. To help prevent stains from coming back, avoid smoking, coffee, tea, red wine and heavily colored foods. And brush your teeth twice a day with a whitening toothpaste.

How Does Bonding Work? Bonding uses composite resins or porcelain/composite veneers to cover the surface of stained teeth and give a nice, even appearance to broken or misshapen teeth. There are two basic bonding techniques:

Composite bonding First, the front of the tooth is slightly reduced to prevent the "new" tooth from being too bulky. Microscopic grooves are then etched into the tooth surface with a mild acid. A composite resin matched to the color of the surrounding teeth is applied to the tooth, contoured into shape, set using a curing light, and finally smoothed and polished.

Veneer bonding A veneer is made to match the color and shape of your tooth. Porcelain veneers are generally stronger, while composite veneers are less expensive. With porcelain veneers, the dentist takes an impression of the tooth and sends it to the dental lab for fabrication of the veneer, usually after the front of the tooth has been reduced. With either method, the tooth is prepared for bonding by roughening the front surface with mild etching solution. The veneer can then be bonded to your tooth using a dental bonding cement.

While more expensive, a porcelain veneer offers a better color match to your surrounding teeth and typically lasts for five to 10 years.

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Not everyone is a candidate for whitening. Bleaching is not recommended if you have tooth-colored fillings, crowns, caps or bonding in your front teeth — the bleach will not change the color of these materials, making them stand out in your newly whitened smile. In these cases, you may want to investigate other options, like veneers or bonding.

Bonding the application of a tooth colored composite resin plastic to repair a decayed chipped fractured or discolored tooth is among the easiest and least expensive of cosmetic dental procedures. Find out more at Colgate.com.

BONDING

Overview

Bonding is the application of a tooth-colored composite resin (plastic) to repair a decayed, chipped, fractured, discolored tooth, to make teeth appear longer, and as a cosmetic alternative to amalgam fillings.

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First your dentist will consult a shade guide to select the composite resin the will most closely match the color of your tooth.

Then, your dentist will prepare the tooth by slightly etching the surface and will coat it in a conditioning liquid to help the bonding material adhere.

Next, your dentist will apply the tooth colored resin and mold the tooth until it is the proper shape, ensuring that it is smooth. Then, using an ultraviolet light, the resin is hardened.

Finally, your dentist will trim and shape the tooth and finally polish the material so that it matches the sheen of the rest of the tooth surfaces.

Top Oral Care Tips Related to BONDING

Avoid stain-inducing beverages – tea, coffee, red wine and other substances can stain the resin used in bonding.

Practice good oral hygiene– to keep your newly bonded tooth beautiful, it is important to brush your teeth twice a day and floss daily.